/// <summary>
/// 医保信息保存
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public async Task MedicalInsuranceSave(UserInfoDto user, MedicalInsuranceParam param)
{
var num = await _dataBaseHelpService.QueryMedicalInsurance(param.业务ID);
if (num == 0)
{
throw new Exception("数据库中未找到相应的住院业务ID的医保信息！");
}
else
{
var oResult = await _webServiceBasic.HIS_InterfaceListAsync("37", "{'验证码':'" + param.验证码 + "','业务ID':'" + param.业务ID + "'}", user.职员ID);
if (oResult.Result == "1")
{
throw new Exception("此业务ID已经报销过，在试图调用接口删除中心住院医保信息时异常。中心返回删除失败消息：" + oResult.Msg.FirstOrDefault()?.ToString() + "！");
}
var count = await _dataBaseHelpService.DeleteMedicalInsurance(user, param.业务ID);
}
List <MedicalInsuranceDto> result;
var init = new MedicalInsuranceDto();
var data = await _webServiceBasic.HIS_InterfaceListAsync("36", JsonConvert.SerializeObject(param), user.职员ID);
result = GetResultData(init, data);
var resultFirst = result.FirstOrDefault();
if (resultFirst != null)
{
//var msg = "获取住院号【" + resultFirst.住院号 + "】，业务ID【" + param.业务ID + "】的时间段内的住院费用成功，共" + result.Count +
// "条记录";
}
}
/// <summary>
/// 医保信息保存
/// </summary>
/// <param name="user"></param>
/// <param name="param"></param>
public void MedicalInsuranceSave(UserInfoDto user, MedicalInsuranceParam param)
{
// var num = _hisSqlRepository.QueryMedicalInsurance(param.业务ID);
//if (num == 0)
//{
// throw new Exception("数据库中未找到相应的住院业务ID的医保信息！");
//}
//else
//{
// var oResult = _webServiceBasic.HIS_InterfaceList("37",
// "{'验证码':'" + param.验证码 + "','业务ID':'" + param.业务ID + "'}", user.UserId);
// if (oResult.Result == "1")
// {
// throw new Exception("此业务ID已经报销过，在试图调用接口删除中心住院医保信息时异常。中心返回删除失败消息：" +
// oResult.Msg.FirstOrDefault()?.ToString() + "！");
// }
// var count = _hisSqlRepository.DeleteMedicalInsurance(user, param.业务ID);
//}
List <MedicalInsuranceDto> result;
var init = new MedicalInsuranceDto();
var data = _webServiceBasic.HIS_InterfaceList("36", JsonConvert.SerializeObject(param));
result = GetResultData(init, data);
var resultFirst = result.FirstOrDefault();
if (resultFirst != null)
{
//var msg = "获取住院号【" + resultFirst.住院号 + "】，业务ID【" + param.业务ID + "】的时间段内的住院费用成功，共" + result.Count +
// "条记录";
}
}
/// <summary>
/// 医保信息保存
/// </summary>
/// <param name="user"></param>
/// <param name="param"></param>
/// <returns></returns>
public void SaveMedicalInsurance(UserInfoDto user, MedicalInsuranceDto param)
{
using (var sqlConnection = new SqlConnection(_connectionString))
{
string strSql = null;
try
{
sqlConnection.Open();
if (param.MedicalInsuranceState == MedicalInsuranceState.HisHospitalized)
{
strSql = $@"update [dbo].[MedicalInsurance] set
MedicalInsuranceState={(int)param.MedicalInsuranceState}
where [Id]='{param.Id}'";
}
else if (param.IsModify)
{
strSql = $@"update [dbo].[MedicalInsurance] set
AdmissionInfoJson='{param.AdmissionInfoJson}'
where [Id]='{param.Id}' and OrganizationCode='{user.OrganizationCode}'";
}
else
{
strSql = $@"INSERT INTO [dbo].[MedicalInsurance]([Id],[BusinessId],[InsuranceNo],[MedicalInsuranceAllAmount],[IdentityMark],[AfferentSign]
,[AdmissionInfoJson],[ReimbursementExpensesAmount] ,[SelfPayFeeAmount],[OtherInfo],[MedicalInsuranceHospitalizationNo],[IsBirthHospital]
,[CreateTime],[IsDelete] ,OrganizationCode,CreateUserId,OrganizationName,InsuranceType,MedicalInsuranceState)
VALUES('{param.Id}','{param.BusinessId}','{param.InsuranceNo}', 0,'{param.IdentityMark}','{param.AfferentSign}',
'{param.AdmissionInfoJson}',0,0,NULL,'{param.MedicalInsuranceHospitalizationNo}',{param.IsBirthHospital},
GETDATE(),0,'{user.OrganizationCode}','{user.UserId}','{user.OrganizationName }',{param.InsuranceType},{(int)param.MedicalInsuranceState});";
strSql = $"update [dbo].[MedicalInsurance] set [IsDelete]=1,DeleteUserId='{user.UserId}',DeleteTime=GETDATE() where [BusinessId]='{param.BusinessId}';" + strSql;
}
sqlConnection.Execute(strSql);
}
catch (Exception e)
{
_log.Debug(strSql);
throw new Exception(e.Message);
}
}
}
/// <summary>
/// 职工生育入院登记
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerBirthHospitalizationRegisterDto WorkerBirthHospitalizationRegister(WorkerBirthHospitalizationRegisterUiParam param)
{
var userBase = _serviceBasicService.GetUserBaseInfo(param.UserId);
userBase.TransKey = param.TransKey;
var infoData = new GetInpatientInfoParam()
{
User = userBase,
BusinessId = param.BusinessId,
};
//获取病人
var inpatientData = _serviceBasicService.GetInpatientInfo(infoData);
if (inpatientData == null)
{
throw new Exception("获取基层病人失败!!!");
}
var paramIni = GetWorkerHospitalizationWorkerBirth(inpatientData, param);
var data = _workerMedicalInsuranceRepository.WorkerBirthHospitalizationRegister(paramIni);
if (data == null)
{
throw new Exception("职工生育入院登记未反馈数据!!!");
}
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = JsonConvert.SerializeObject(paramIni),
BusinessId = param.BusinessId,
Id = Guid.NewGuid(),
IsModify = false,
InsuranceType = 310,
MedicalInsuranceState = MedicalInsuranceState.MedicalInsuranceHospitalized,
MedicalInsuranceHospitalizationNo = data.MedicalInsuranceInpatientNo,
IsBirthHospital = 1,
IdentityMark = param.IdentityMark,
AfferentSign = param.AfferentSign
};
////存中间库
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//回参构建
var xmlData = new HospitalizationRegisterXml()
{
MedicalInsuranceType = "1",
MedicalInsuranceHospitalizationNo = data.MedicalInsuranceInpatientNo,
InsuranceNo = null,
};
var strXmlBackParam = XmlSerializeHelper.HisXmlSerialize(xmlData);
var saveXml = new SaveXmlDataParam()
{
User = userBase,
MedicalInsuranceBackNum = "zydj",
MedicalInsuranceCode = "21",
BusinessId = param.BusinessId,
BackParam = strXmlBackParam
};
//存基层
_webBasicRepository.SaveXmlData(saveXml);
saveData.MedicalInsuranceState = MedicalInsuranceState.HisHospitalized;
//更新中间库
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//保存入院数据
infoData.IsSave = true;
_serviceBasicService.GetInpatientInfo(infoData);
return(data);
}
/// <summary>
/// 职工入院登记修改
/// </summary>
/// <param name="uiParam"></param>
public void ModifyWorkerHospitalization(HospitalizationModifyUiParam uiParam)
{ //his登陆
var userBase = _serviceBasicService.GetUserBaseInfo(uiParam.UserId);
userBase.TransKey = uiParam.TransKey;
var param = GetWorkerHospitalizationModify(uiParam, userBase);
//医保执行
_workerMedicalInsuranceRepository.ModifyWorkerHospitalization(param);
// 回参构建
var xmlData = new HospitalizationModifyXml()
{
MedicalInsuranceHospitalizationNo = param.MedicalInsuranceHospitalizationNo,
};
//var strXmlBackParam = XmlSerializeHelper.HisXmlSerialize(xmlData);
//var saveXml = new SaveXmlDataParam()
//{
// User = param.User,
// MedicalInsuranceBackNum = "zyzlxgall",
// MedicalInsuranceCode = "23",
// BusinessId = param.BusinessId,
// BackParam = strXmlBackParam
//};
////存基层
//_webBasicRepository.SaveXmlData(saveXml);
var paramStr = "";
var queryData = _medicalInsuranceSqlRepository.QueryMedicalInsuranceResidentInfo(
new QueryMedicalInsuranceResidentInfoParam
{
BusinessId = param.BusinessId,
OrganizationCode = param.User.OrganizationCode
});
if (!string.IsNullOrWhiteSpace(queryData.AdmissionInfoJson))
{
var data =
JsonConvert.DeserializeObject <WorKerHospitalizationRegisterParam>(queryData
.AdmissionInfoJson);
if (!string.IsNullOrWhiteSpace(param.AdmissionDate))
{
data.AdmissionDate = param.AdmissionDate;
}
if (!string.IsNullOrWhiteSpace(param.AdmissionMainDiagnosis))
{
data.AdmissionMainDiagnosis = param.AdmissionMainDiagnosis;
}
if (!string.IsNullOrWhiteSpace(param.AdmissionMainDiagnosisIcd10))
{
data.AdmissionMainDiagnosisIcd10 = param.AdmissionMainDiagnosisIcd10;
}
if (!string.IsNullOrWhiteSpace(param.DiagnosisIcd10Three))
{
data.DiagnosisIcd10Three = param.DiagnosisIcd10Three;
}
if (!string.IsNullOrWhiteSpace(param.DiagnosisIcd10Two))
{
data.DiagnosisIcd10Two = param.DiagnosisIcd10Two;
}
if (!string.IsNullOrWhiteSpace(param.InpatientDepartmentCode))
{
data.InpatientDepartmentCode = param.InpatientDepartmentCode;
}
if (!string.IsNullOrWhiteSpace(param.BedNumber))
{
data.BedNumber = param.BedNumber;
}
data.Id = queryData.Id;
paramStr = JsonConvert.SerializeObject(data);
}
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = paramStr,
BusinessId = queryData.BusinessId,
Id = queryData.Id,
IsModify = true,
};
_medicalInsuranceSqlRepository.SaveMedicalInsurance(param.User, saveData);
//日志
var logParam = new AddHospitalLogParam();
logParam.User = param.User;
logParam.RelationId = queryData.Id;
logParam.JoinOrOldJson = queryData.AdmissionInfoJson;
logParam.ReturnOrNewJson = paramStr;
logParam.Remark = "医保入院登记修改";
_systemManageRepository.AddHospitalLog(logParam);
}
/// <summary>
/// 门诊费用录入
/// </summary>
public OutpatientDepartmentCostInputDto OutpatientDepartmentCostInput(GetOutpatientPersonParam param)
{
OutpatientDepartmentCostInputDto resultData = null;
//获取门诊病人数据
var outpatientPerson = _serviceBasicService.GetOutpatientPerson(param);
if (outpatientPerson == null)
{
throw new Exception("his中未获取到当前病人!!!");
}
//if (string.IsNullOrWhiteSpace(outpatientPerson.IdCardNo)) throw new Exception("当前病人的身份证号码不能为空!!!");
var inputParam = new OutpatientDepartmentCostInputParam()
{
AllAmount = outpatientPerson.MedicalTreatmentTotalCost,
IdentityMark = param.IdentityMark,
AfferentSign = param.AfferentSign,
Operators = param.User.UserName
};
//医保数据写入
resultData = _outpatientDepartmentRepository.OutpatientDepartmentCostInput(inputParam);
if (resultData == null)
{
throw new Exception("门诊费用医保执行失败!!!");
}
param.IsSave = true;
param.Id = Guid.NewGuid();
//保存门诊病人
_serviceBasicService.GetOutpatientPerson(param);
//中间层数据写入
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = JsonConvert.SerializeObject(param),
BusinessId = param.UiParam.BusinessId,
Id = Guid.NewGuid(),
IsModify = false,
InsuranceType = 999,
MedicalInsuranceState = MedicalInsuranceState.MedicalInsuranceHospitalized,
MedicalInsuranceHospitalizationNo = resultData.DocumentNo,
AfferentSign = param.AfferentSign,
IdentityMark = param.IdentityMark
};
//存中间库
_medicalInsuranceSqlRepository.SaveMedicalInsurance(param.User, saveData);
//日志写入
_systemManageRepository.AddHospitalLog(new AddHospitalLogParam()
{
User = param.User,
JoinOrOldJson = JsonConvert.SerializeObject(inputParam),
ReturnOrNewJson = JsonConvert.SerializeObject(resultData),
RelationId = param.Id,
BusinessId = param.UiParam.BusinessId,
Remark = "[R][OutpatientDepartment]门诊病人结算"
});
//获取病人的基础信息
var userInfoData = _residentMedicalInsuranceRepository.GetUserInfo(new ResidentUserInfoParam()
{
IdentityMark = param.IdentityMark,
AfferentSign = param.AfferentSign,
});
//回参构建
var xmlData = new OutpatientDepartmentCostXml()
{
AccountBalance = userInfoData.InsuranceType == "342" ? userInfoData.ResidentInsuranceBalance : userInfoData.WorkersInsuranceBalance,
MedicalInsuranceOutpatientNo = resultData.DocumentNo,
CashPayment = resultData.SelfPayFeeAmount,
SettlementNo = resultData.DocumentNo,
AllAmount = outpatientPerson.MedicalTreatmentTotalCost,
PatientName = outpatientPerson.PatientName,
AccountAmountPay = 0,
MedicalInsuranceType = userInfoData.InsuranceType == "310" ? "1" : userInfoData.InsuranceType,
};
var strXmlBackParam = XmlSerializeHelper.HisXmlSerialize(xmlData);
var saveXml = new SaveXmlDataParam()
{
User = param.User,
MedicalInsuranceBackNum = "zydj",
MedicalInsuranceCode = "48",
BusinessId = param.UiParam.BusinessId,
BackParam = strXmlBackParam
};
//存基层
_webBasicRepository.SaveXmlData(saveXml);
var updateParam = new UpdateMedicalInsuranceResidentSettlementParam()
{
UserId = param.User.UserId,
ReimbursementExpensesAmount = resultData.ReimbursementExpensesAmount,
SelfPayFeeAmount = resultData.SelfPayFeeAmount,
OtherInfo = JsonConvert.SerializeObject(resultData),
Id = saveData.Id,
SettlementNo = resultData.DocumentNo,
MedicalInsuranceAllAmount = outpatientPerson.MedicalTreatmentTotalCost,
SettlementTransactionId = param.User.TransKey,
MedicalInsuranceState = MedicalInsuranceState.HisSettlement
};
//更新中间层
_medicalInsuranceSqlRepository.UpdateMedicalInsuranceResidentSettlement(updateParam);
return(resultData);
}
/// <summary>
/// 门诊计划生育预结算
/// </summary>
/// <param name="param"></param>
/// <returns></returns>
public WorkerHospitalizationPreSettlementDto OutpatientPlanBirthPreSettlement(OutpatientPlanBirthPreSettlementUiParam param)
{
WorkerHospitalizationPreSettlementDto data = null;
var userBase = _serviceBasicService.GetUserBaseInfo(param.UserId);
userBase.TransKey = param.TransKey;
var outpatientParam = new GetOutpatientPersonParam()
{
User = userBase,
UiParam = param,
};
var outpatientPerson = _serviceBasicService.GetOutpatientPerson(outpatientParam);
if (outpatientPerson == null)
{
throw new Exception("his中未获取到当前病人!!!");
}
var outpatientDetailPerson = _serviceBasicService.GetOutpatientDetailPerson(new OutpatientDetailParam()
{
User = userBase,
BusinessId = param.BusinessId,
});
var iniParam = GetOutpatientPlanBirthPreSettlementParam
(param);
iniParam.AfferentSign = param.AfferentSign;
iniParam.IdentityMark = param.IdentityMark;
//医保执行
data = _outpatientDepartmentRepository.OutpatientPlanBirthPreSettlement(iniParam);
//保存门诊病人
outpatientParam.IsSave = true;
outpatientParam.Id = Guid.NewGuid();
_serviceBasicService.GetOutpatientPerson(outpatientParam);
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = JsonConvert.SerializeObject(param),
BusinessId = param.BusinessId,
Id = Guid.NewGuid(),
IsModify = false,
InsuranceType = 999,
MedicalInsuranceState = MedicalInsuranceState.MedicalInsurancePreSettlement,
AfferentSign = param.AfferentSign,
IdentityMark = param.IdentityMark,
IsBirthHospital = 1
};
//存中间库
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//日志写入
_systemManageRepository.AddHospitalLog(new AddHospitalLogParam()
{
User = userBase,
JoinOrOldJson = JsonConvert.SerializeObject(iniParam),
ReturnOrNewJson = JsonConvert.SerializeObject(data),
RelationId = outpatientParam.Id,
BusinessId = param.BusinessId,
Remark = "[R][OutpatientDepartment]门诊计划生育预结算"
});
//明细存入
_serviceBasicService.GetOutpatientDetailPerson(new OutpatientDetailParam()
{
IsSave = true,
BusinessId = param.BusinessId,
User = userBase
});
return(data);
}
/// <summary>
/// 入院登记
/// </summary>
/// <returns></returns>
public void HospitalizationRegister(ResidentHospitalizationRegisterUiParam param)
{ //his登陆
var userBase = _webserviceBasicService.GetUserBaseInfo(param.UserId);
userBase.TransKey = param.TransKey;
var infoData = new GetInpatientInfoParam()
{
User = userBase,
BusinessId = param.BusinessId,
};
//获取医保病人
var inpatientData = _webserviceBasicService.GetInpatientInfo(infoData);
var registerParam = GetResidentHospitalizationRegisterParam(param, inpatientData);
var residentData = _residentMedicalInsuranceRepository.HospitalizationRegister(registerParam);
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = JsonConvert.SerializeObject(registerParam),
BusinessId = param.BusinessId,
Id = Guid.NewGuid(),
InsuranceType = 342,
MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceInpatientNo,
MedicalInsuranceState = MedicalInsuranceState.MedicalInsuranceHospitalized,
AfferentSign = param.AfferentSign,
IdentityMark = param.IdentityMark
};
//保存中间库
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//回参构建
var xmlData = new HospitalizationRegisterXml()
{
MedicalInsuranceType = "10",
MedicalInsuranceHospitalizationNo = residentData.MedicalInsuranceInpatientNo,
InsuranceNo = null,
};
var strXmlBackParam = XmlSerializeHelper.HisXmlSerialize(xmlData);
var saveXml = new SaveXmlDataParam()
{
User = userBase,
MedicalInsuranceBackNum = "CXJB002",
MedicalInsuranceCode = "21",
BusinessId = param.BusinessId,
BackParam = strXmlBackParam
};
//存基层
_webBasicRepository.SaveXmlData(saveXml);
//更新中间库
saveData.MedicalInsuranceState = MedicalInsuranceState.HisHospitalized;
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//日志
var logParam = new AddHospitalLogParam
{
User = userBase,
RelationId = saveData.Id,
JoinOrOldJson = JsonConvert.SerializeObject(param),
ReturnOrNewJson = JsonConvert.SerializeObject(residentData),
BusinessId = param.BusinessId,
Remark = "医保入院登记;TransactionId:" + userBase.TransKey
};
_systemManageRepository.AddHospitalLog(logParam);
//保存入院数据
infoData.IsSave = true;
_webserviceBasicService.GetInpatientInfo(infoData);
}
/// <summary>
/// 入院登记修改
/// </summary>
/// <param name="param"></param>
/// <param name="user"></param>
public void HospitalizationModify(HospitalizationModifyUiParam param)
{//his登陆
var userBase = _webserviceBasicService.GetUserBaseInfo(param.UserId);
userBase.TransKey = param.TransKey;
var modifyParam = GetResidentHospitalizationModify(param);
_residentMedicalInsuranceRepository.HospitalizationModify(modifyParam, userBase);
var paramStr = "";
var queryData = _medicalInsuranceSqlRepository.QueryMedicalInsuranceResidentInfo(
new QueryMedicalInsuranceResidentInfoParam
{
BusinessId = param.BusinessId,
OrganizationCode = userBase.OrganizationCode
});
if (!string.IsNullOrWhiteSpace(queryData.AdmissionInfoJson))
{
var data =
JsonConvert.DeserializeObject <QueryMedicalInsuranceDetailDto>(queryData
.AdmissionInfoJson);
if (!string.IsNullOrWhiteSpace(modifyParam.AdmissionDate))
{
data.AdmissionDate = modifyParam.AdmissionDate;
}
if (!string.IsNullOrWhiteSpace(modifyParam.AdmissionMainDiagnosis))
{
data.AdmissionMainDiagnosis = modifyParam.AdmissionMainDiagnosis;
}
if (!string.IsNullOrWhiteSpace(modifyParam.AdmissionMainDiagnosisIcd10))
{
data.AdmissionMainDiagnosisIcd10 = modifyParam.AdmissionMainDiagnosisIcd10;
}
if (!string.IsNullOrWhiteSpace(modifyParam.DiagnosisIcd10Three))
{
data.DiagnosisIcd10Three = modifyParam.DiagnosisIcd10Three;
}
if (!string.IsNullOrWhiteSpace(modifyParam.DiagnosisIcd10Two))
{
data.DiagnosisIcd10Two = modifyParam.DiagnosisIcd10Two;
}
if (!string.IsNullOrWhiteSpace(param.FetusNumber))
{
data.FetusNumber = param.FetusNumber;
}
if (!string.IsNullOrWhiteSpace(param.HouseholdNature))
{
data.HouseholdNature = param.HouseholdNature;
}
if (!string.IsNullOrWhiteSpace(param.InpatientDepartmentCode))
{
data.InpatientDepartmentCode = param.InpatientDepartmentCode;
}
if (!string.IsNullOrWhiteSpace(param.BedNumber))
{
data.BedNumber = param.BedNumber;
}
data.Id = queryData.Id;
paramStr = JsonConvert.SerializeObject(data);
}
var saveData = new MedicalInsuranceDto
{
AdmissionInfoJson = paramStr,
BusinessId = queryData.BusinessId,
Id = queryData.Id,
IsModify = true,
MedicalInsuranceHospitalizationNo = queryData.MedicalInsuranceHospitalizationNo
};
_medicalInsuranceSqlRepository.SaveMedicalInsurance(userBase, saveData);
//日志
var logParam = new AddHospitalLogParam
{
User = userBase,
RelationId = queryData.Id,
JoinOrOldJson = queryData.AdmissionInfoJson,
ReturnOrNewJson = paramStr,
BusinessId = param.BusinessId,
Remark = "医保入院登记修改"
};
_systemManageRepository.AddHospitalLog(logParam);
}